TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE
SUBCHAPTER l: PROVISIONS APPLICABLE TO ALL COMPANIES
PART 917 LIFE INSURANCE AND ANNUITY REPLACEMENT
SECTION 917.EXHIBIT B NOTICE REGARDING PROPOSED REPLACEMENT OF LIFE INSURANCE OR ANNUITY



Section 917.EXHIBIT B   Notice Regarding Proposed Replacement of Life Insurance or Annuity

 

(Name of Existing Insurer)

(Address)

(City, State, Zip Code )

 

(Salutation)

 

You are herewith given notice that we are in receipt of application(s) for life insurance or annuity(ies) for an individual presently insured with your company.

 

Identification

 

Name of Insured

 

 

 

Address

 

 

 

 

 

 

 

Contract Number

 

 

 

      "            "

 

 

 

      "            "

 

 

 

      "            "

 

 

 

 

This notice is given pursuant to 50 Ill. Adm. Code 917.70(c)

 

 

 

 

(Insurance Producer's Signature)

 

(Closure)